| Mrs Deborah Ann Wise, CNS | |
|
3700 Southern Blvd Ste 401, Kettering, OH 45429-1226 | |
| (855) 500-2873 | |
| (937) 281-3913 |
| Full Name | Mrs Deborah Ann Wise |
|---|---|
| Gender | Female |
| Speciality | Certified Clinical Nurse Specialist (cns) |
| Experience | 28 Years |
| Location | 3700 Southern Blvd Ste 401, Kettering, Ohio |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134340599 | NPI | - | NPPES |
| 0067949 | Medicaid | OH |
| Facility Name | Location | Facility Type |
|---|---|---|
| Grandview And Southview Hospitals | Dayton, OH | Hospital |
| Greene Memorial Hospital | Xenia, OH | Hospital |
| Kettering Medical Center | Kettering, OH | Hospital |
| Kettering Medical Center - Sycamore | Miamisburg, OH | Hospital |
| Soin Medical Center | Beaver creek, OH | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Kettering Independent Medical Group Inc | 3173710936 | 602 |
| Entity Name | Kettering Independent Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629387865 PECOS PAC ID: 3173710936 Enrollment ID: O20101207000425 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Deborah Ann Wise, CNS 3700 Southern Blvd Ste 401, Kettering, OH 45429-1265 Ph: (855) 500-2873 | Mrs Deborah Ann Wise, CNS 3700 Southern Blvd Ste 401, Kettering, OH 45429-1226 Ph: (855) 500-2873 |
Suzanne Marie Brooks, RN, MS, CNS-BC Clinical Nurse Specialist Medicare: Accepting Medicare Assignments Practice Location: 3700 Southern Blvd Ste 300, Kettering, OH 45429 Phone: 937-643-9299 Fax: 937-643-2343 | |
Melody Ruth Campbell, CNS Clinical Nurse Specialist Medicare: Not Enrolled in Medicare Practice Location: 3535 Southern Blvd Ste 2100, Kettering, OH 45429 Phone: 937-395-8556 Fax: 937-395-6376 | |
Patrick A Kuss, PA Clinical Nurse Specialist Medicare: Not Enrolled in Medicare Practice Location: 3535 Southern Blvd, Kettering, OH 45429 Phone: 937-296-7202 | |
Kimberly D Mcintyre, ACNS-BC Clinical Nurse Specialist Medicare: Accepting Medicare Assignments Practice Location: 3737 Southern Blvd Ste 2100, Kettering, OH 45429 Phone: 937-433-5309 | |
Miss Marjorie Yvonne Derksen, RN,CNS Clinical Nurse Specialist Medicare: Not Enrolled in Medicare Practice Location: 3080 Ackerman Blvd., #100, Dayton Chest Medicine, Kettering, OH 45429 Phone: 937-396-1605 Fax: 937-396-1607 |